title: Presentation and management of an acute caffeine overdose.
abstract: A one-year-old white female ingested approximately two to three grams of caffeine (200-300 mg/kg). The patient survived the ingestion with a maximum caffeine concentration of 385 micrograms/ml four hours postingestion. The child developed ventricular arrhythmias, seizures, metabolic disturbances, and severe pulmonary edema. She survived without apparent long-term sequelae despite having reached a serum caffeine concentration that is the second highest reported level in a survivor.
authors.affiliation: Ohio State University.
authors.forename: A M
authors.initials: AM
authors.lastname: Dietrich
authors.forename: M E
authors.initials: ME
authors.lastname: Mortensen
mesh_terms: D002110:Caffeine / Q000506:poisoning*; D062787:Drug Overdose / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D012128:Respiratory Distress Syndrome / Q000139:chemically induced; D012640:Seizures / Q000139:chemically induced; D013610:Tachycardia / Q000139:chemically induced
chemical_list: D002110:Caffeine